Individual provider · Type 1 NPI

Vanessa Marie Gonzalez

Physician Assistant · Miami, FL

NPI number 1114623709 Active

Practice location

9900 SW 107th Ave Ste 201
Miami, FL 33176-2809

Mailing address

9628 SW 118th Pl
Miami, FL 33186-2714

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9119598 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114623709

Vanessa Marie Gonzalez's National Provider Identifier is 1114623709, issued on Feb 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Miami, FL. The record was last updated on Oct 22, 2026.